Dr. Mohammed Hatem Alsubaih · Consultant Colorectal Surgeon

CLINICAL DECISION PATHWAY

Prolapse & hemorrhoid analysis

Shape, reduction, bleeding, mucus, continence and constipation.

Red flags firstDecision-changing questionsPattern-based resultNext step

For adults: educational guidance to understand your next step and prepare for examination. An urgent warning appears immediately; you may continue documenting your history, but do not delay urgent care to finish the questionnaire.

Tool limits: Structures clinical reasoning, priority and missing information. It does not diagnose disease or choose an operation.

BEFORE YOUR VISIT

What appears during a bowel movement?

Describe when tissue appears, whether it returns by itself or needs help, and any bleeding, leakage or evacuation difficulty. Do not infer the type of prolapse from an online shape or description. If you already have a photograph for your clinician, keep it in the way you choose; this tool neither requests nor interprets it.

What will you take away?

A next-step guide, discussion points, preparation list and a summary to copy or save for any clinician you choose.

You control sharing

No account, name or intimate images. Answers are temporary within the page. Booking does not send answers; sharing is your choice.

Question guide: how each answer changes the differential

Sudden very painful dark/blue lump?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Is there heavy or ongoing bleeding now?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

When does prolapse appear?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

How does it reduce?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Shape?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

How long has the prolapse been occurring?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

How is the prolapse changing over time?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Bleeding?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Marked pain with bowel movement?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Chronic constipation/prolonged straining?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Outlet blockage or incomplete emptying?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Manual assistance to evacuate?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Continence weakness?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Mucus/moisture/soiling?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Prior hemorrhoid/prolapse/fissure surgery?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Weight loss, anemia, new persistent bowel change or blood mixed in stool?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Has a clinician seen the prolapse itself or do you have a clear image when present?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Any associated urinary difficulty, vaginal prolapse or pelvic pressure?

This question helps distinguish prolapsing hemorrhoids, rectal prolapse, mucosal prolapse and pelvic outlet disorders.

Sources and how they are used

Guidelines and official patient information support the medical principles. Question wording and priority categories are educational adaptations, not a society-validated instrument. No ASCRS, ECCO or NICE endorsement is claimed. Referral and testing systems vary by country. Reference-link checks: 9 September 2026; this is not human clinical review or clinical performance validation.

Privacy and assessment scope

Questions run on this page without requiring your name, phone number or intimate images. You may add a first name for the displayed report; it stays on your device and is not sent to AI. Optional AI assessment sends your answers and text to Cloudflare only with your consent; files are sent when you request extraction. Remove identifiers before upload. The app creates no permanent medical record and no clinician reviews the output. Answers do not persist after reload and are not sent automatically to the clinician. WhatsApp is an external service; the booking button does not attach medical answers. Saved or copied reports contain health information: review them and choose who to share them with.

App files may be cached locally for offline use; this does not include assessment answers. Hosting services process ordinary web requests under their policies. Guidance is automated education, not a diagnosis, prescription or clinician-issued report.